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Personal Contact Information

Please enter your personal information. Required fields are marked.
First Name: 
 *
Last Name: 
 *
Phone Number: 
 *
Email Address: 
 *
Address: 
 *
 
City: 
 *
State:
Postal Code: 
 *
Length of Residence: 
 *
Driver's License Number: 
Driver's License State:
Driver's License Renew Date: 

Employment History

Please enter details about your 3 most recent positions. If you have had less than 3 positions, only fill out the number that apply to you.

Job 1 Details

Start Date:
End Date:
Salary:
Draw:
Commission:
Bonus:
Company Name:
Location:
Supervisor:
Telephone:
Job 1 Details:
Reason For Leaving:
Duties:

Job 2 Details

Start Date:
End Date:
Salary:
Draw:
Commission:
Bonus:
Company Name:
Location:
Supervisor:
Telephone:
Job 2 Details:
Reason For Leaving:
Duties:

Job 3 Details

Start Date:
End Date:
Salary:
Draw:
Commission:
Bonus:
Company Name:
Location:
Supervisor:
Telephone:
Job 2 Details:
Reason For Leaving:
Duties:

Employment History Continued

Please answer the following questions about your employment history:
If presently employed, may we contact your employer as a reference?
 Yes    No
May we contact all other employers?
 Yes    No
If no, specify employers you do not want contacted and state the reason why: 
Which of the jobs listed did you like the best? Explain: 
Which of the jobs listed did you like the least? Explain: 
Have you ever been fired?
 Yes    No
If yes, please explain: 
What in your background makes you qualified for our sales position? 
Are you willing to relocate?
 Yes    No
Area of preferences? 
Are you willing to travel?
 Yes    No
Percentage? 

Educational Information

Please provide your educational history:
NameLocationYears CompeletedGPAGraduated
High School Yes    No
College Yes    No
Other Yes    No
High School: 
College: 
Other: 
Did you work for wages before or during high school?
 Yes    No
What was the nature of your employment? 
Percent of expenses earned in high school? 
Percent of expenses earned in college? 
Describe your greatest achievement in school (academic/extracurricular) 

Military Service

Please provide your military experience:
Have you been a member of the Armed Services?
  Yes    No
Branch of Service: 
Dates/Special Training: 

Additional Information

Please answer the following questions about your status:
Are you a citizen of the U.S?
 Yes    No
If not, are you legally authorized to work in the U.S?
 Yes    No
Have you ever been convicted of a crime (other than minor traffic offenses)?
 Yes    No
(Criminal convictions are not an absolute bar to employment but will be considered in relation to specific job requirements.)
If so, specify: When, Offense, City, State 
Why are you interested in this position? 
Date available for employment: 
Have you ever been employed by this company, a subsidiary, or affiliate before?
 Yes    No
If yes, give dates, position held and reason for leaving: 
How were you referenced to our company? 
Are you acquainted with our related to any current or former ATCO employee?
 Yes    No
If yes, whom? 
All External Sales Representatives will be required to travel. This travel will require the use of an automobile.
Are you able to meet this travel requirement?
 Yes    No

Your Interest

Please answer the following questions about your interest:
What has been your most successful accomplishment? 
To what do you attribute your success so far? 
What goals have you set for the future? 
List three personal goals: 
List three personal areas in which you could improve: 
What do you do to make other people feel special? 
What you like the most about sales is: 
To be successful in sales you must: 
When a customer says no, you: 
At what time of day are you at your best? 
When confronted by an obstacle, you: 
What is the best way for you to maximize your success? 
I agree the information I have provided is true to the best of my knowledge.
 Yes    No